SPECT/CT fusion imaging in radionuclide cisternography for localization of liquor leakage sites

C Novotny, C Pötzi, S Asenbaum… - Journal of …, 2009 - Wiley Online Library
C Novotny, C Pötzi, S Asenbaum, P Peloschek, E Suess, M Hoffmann
Journal of Neuroimaging, 2009Wiley Online Library
ABSTRACT OBJECTIVE We report our experience with radionuclide cisternography (RC)
with 111In‐diethylenthriamine penta‐acetic acid (DTPA) using a computed tomography (CT)
mounted hybrid gamma camera in patients with cerebrospinal liquor leakage. METHODS
SPECT/CT fusion imaging was performed in case of suspected tracer egress on planar or
SPECT images in order to obtain a detailed correlation of the leakage site. RESULTS
Leakage was detected in all 3 patients. Using SPECT/CT, the extradural tracer accumulation …
ABSTRACT
OBJECTIVE
We report our experience with radionuclide cisternography (RC) with 111In‐diethylenthriamine penta‐acetic acid (DTPA) using a computed tomography (CT) mounted hybrid gamma camera in patients with cerebrospinal liquor leakage.
METHODS
SPECT/CT fusion imaging was performed in case of suspected tracer egress on planar or SPECT images in order to obtain a detailed correlation of the leakage site.
RESULTS
Leakage was detected in all 3 patients. Using SPECT/CT, the extradural tracer accumulation could be correlated to an anatomical structure, which had not been possible by evaluation of the scintigraphic studies alone.
CONCLUSION
Introducing SPECT/CT for radionuclide cisternography seems to be a valuable tool to facilitate the diagnosis of cerebrospinal liquor leakage.
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